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Dr. Mary Allegra Kelley, DO
Neurology Physician in Bend, Oregon
NPI 1720646862

Mary Allegra Kelley is a Neurology Physician based in Bend, OR and is specialized in Neurology. Mary Allegra Kelley practices in Bend, OR and has the professional credentials of DO. The NPI Number for Mary Allegra Kelley is 1720646862 and holds a License No. BP10067289 (Oregon).

The current practice location address for Mary Allegra Kelley is 1501 Ne Medical Center Dr, Bend, OR and can be reached out via phone at 541-382-4900.

Location: 1501 Ne Medical Center Dr, Bend, OR, 97708-6048
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720646862
Provider Name
Mary Allegra Kelley
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
1501 Ne Medical Center Dr, Bend, OR, 97708-6048
Phone Number
541-382-4900
Fax Number
Provider Enumeration Date
06/04/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500820545 05 OR
institution
Provider Business Practice Location Address Details
Address
1501 Ne Medical Center Dr
City
Bend
State
Oregon
Zip
97701-6099
Phone Number
541-382-4900
Fax Number
person
Provider Business Mailing Address Details
Address
1501 Ne Medical Center Dr
City
Bend
State
Oregon
Zip
97701-6099
Phone Number
541-382-4900
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
DO212875 (Oregon)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
BP10067289 (Texas)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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